Form ID

Publication date

Location of premises

Certificate

Asphalting of Moro Dr., Burke St., Rossi Dr., South Talbot Rd.

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
The Corporation of the Town of Tecumseh
Address of Owner
917 Lesperance Rd., Tecumseh, ON N8N 1W9
Name of Contractor
Coco Paving
Address of Contractor
6725 South Service Rd. E., Windsor, ON N8N 2M1
Name of Certifier
Bob Gilboe
Address of Certifier
917 Lesperance Rd., Tecumseh, ON N8N 1W9

Office to which claim for lien must be given to preserve lien

917 Lesperance Rd., Tecumseh, ON N8N 1W9